横行結腸間膜に原発した平滑筋芽細胞腫の1例  [in Japanese] LEIOMYOBLASTOMA OF THE TRANSVERSE MESOCOLON : A CASE REPORT  [in Japanese]

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Abstract

非常にまれな結腸間膜平滑筋芽細胞腫の1例を経験した.<br> 症例は44歳,男性.検診の腹部超音波検査にて上腹部腫瘤を指摘され,来院した.腹部血管造影で中結腸動脈よりの栄養血管,および腫瘤濃染像を認めた.横行結腸間膜由来の腫瘍と診断し,手術を施行した.<br> 開腹したところ,横行結腸間膜より発生した腫瘍を網嚢内に認め,横行結腸間膜および大網の一部と共に腫瘍を摘出した.切除標本では,腫瘍は7×6×6cm, 350gで内部に出血性壊死を伴っていた.病理組織学的には,平滑筋芽細胞腫と診断した.<br> 術後10カ月が経過した現在,再発の徴候なく外来通院中である.<br> 本症例につき若干の文献的考察を加えて報告する.

We experienced a very rare case of leiomyoblstoma of the transverse mesocolon.<br> A 44-year-old man was admitted to the hospital because of upper abdominal tumor which was found with abdominal ultrasound sonography at a physical checkup. Abdominal angiography showed tumor vessels and a tumor shadow fed by middle colic artery. Under a diagnosis of primary tumor arising in the transverse mesocolon, an operation was performed.<br> During operation the tumor arising from the transverse mesocolon was found in the bursa omentalis. To remove the tumor, a partial resection of the transverse mesocolon and greater omentum was performed. The resected tumor was 7×6×6cm in size and 350g in weight. In the cross section, hemorrhagic necrosis was contained. Histological diagnosis was leiomyoblastoma of the transverse mesocolon.<br> He has been doing well 10 months after the operation without any symptoms or signs of recurrence.<br> We report this case with some additional discussion on the related literature.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(9), 2175-2178, 1997-09-25

    Japan Surgical Association

References:  10

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008530640
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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